Individual
ALLISON KIDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T
Contact information
Practice address
2121 W ELGIN ST, CHANDLER, AZ 85224-5608
(801) 942-3311
Mailing address
3524 E MEGAN ST, GILBERT, AZ 85295-3520
(602) 621-3558
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10905
AZ
Other
Enumeration date
06/05/2014
Last updated
06/05/2014
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